EBELE N ILOABACHIE NPI 1093050841

NPI Information

NPI: 1093050841
Provider Name: EBELE N ILOABACHIE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
12098 LUSHER RD
SAINT LOUIS, MO
ZIP 63138
Phone: (866) 825-3227
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Ebele N Iloabachie is a psychiatric/mental health nurse practitioner in Saint Louis, MO with 12 years of experience. Ebele N Iloabachie NPI is 1093050841. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12098 LUSHER RD
SAINT LOUIS, MO
ZIP 63138-302
Phone: (866) 825-3227

The NPI 1093050841 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2012 and was last updated on 7/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	2012036151	MISSOURI	No
2	363LF0000X	Nurse Practitioner	Family	209.010250	ILLINOIS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	2021048982	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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